CSI Camp Registration Form
Please complete this form to register for CSI Camp at Allison Woods OLC
Email address *
Childs' Name *
Your answer
Age *
Your answer
Parent/Guardian Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Emergency Contact Name and Phone Number *
Your answer
Does your child have any allergies? *
If yes, please explain-
Your answer
Are there any special medical concerns that staff should be aware of, such as, but not limited to, diabetes, asthma, epilepsy, previous injuries to bones/joints? *
Your answer
Please Choose 1: *
Required
Thank you for completing your registration form! To finish registration, please submit payment ($30 per child) to Allison Woods Outdoor Learning Center. You can make out a check to Allison Woods Outdoor Learning Center and mail to 248 Allison's Woods Dr. Statesville, NC 28625. Be sure your childs name is in the memo section. You may also pay through Paypal at Allisonwoodsoutdoorlearningcenter.com. If you have any questions, please call 704-873-5976.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms